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(Referência obtida automaticamente do Web of Science, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores.)

Additional effect of occlusal splints on the improvement of psychological aspects in temporomandibular disorder subjects: A randomized controlled trial

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Autor(es):
Costa, Yuri Martins [1] ; Porporatti, Andre Luis [1] ; Stuginski-Barbosa, Juliana [1] ; Bonjardim, Leonardo Rigoldi [2] ; Rodrigues Conti, Paulo Cesar [1]
Número total de Autores: 5
Afiliação do(s) autor(es):
[1] Univ Sao Paulo, Dept Prosthodont, Bauru Sch Dent, BR-17012901 Bauru, SP - Brazil
[2] Univ Sao Paulo, Dept Biol Sci, Bauru Sch Dent, BR-17012901 Bauru, SP - Brazil
Número total de Afiliações: 2
Tipo de documento: Artigo Científico
Fonte: ARCHIVES OF ORAL BIOLOGY; v. 60, n. 5, p. 738-744, MAY 2015.
Citações Web of Science: 12
Resumo

Objective: To measure the effect of occlusal splints as an additional treatment on psychological aspects in temporomandibular disorder patients. Design: A randomized controlled trial was performed comprising 60 adults diagnosed with masticatory myofascial pain according the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). The participants were divided equally into 2 treatment groups, which received only counselling (Group 1) or occlusal splints in addition to counselling (Group 2). The assessments occurred at baseline and at 2 and 5 months after treatment. The outcomes were symptoms of anxiety and depression, as well as pain catastrophizing. Two-way ANOVA, Friedman and Mann-Whitney tests were used to perform the statistical analysis, considering a significance level of 5%. Results: In relation to the baseline assessment, 60% of the subjects had at least mild anxiety and 25% had at least mild depression, and the mean and standard deviation (SD) of pain catastrophizing was 2.41 (1.33) for Group land 2.06 (1.04) for Group 2. Comparisons between baseline and the fifth-month evaluation showed an improvement in anxiety and depression symptoms only in Group 2 (p < 0.05). Otherwise, there was a significant reduction in pain catastrophizing in both groups (p < 0.05), with a mean (SD) of 1.14 (1.28) for Group land 0.76 (0.82) for Group 2. Conclusion: Minimally invasive strategies could provide an improvement in the psychological aspects of temporomandibular disorder patients, and the use of an occlusal splint seems to hasten the manifestation of these effects. (C) 2015 Elsevier Ltd. All rights reserved. (AU)

Processo FAPESP: 11/04441-6 - Caracterização diagnóstica de cefaleia secundária a disfunção temporomandibular em músculos mastigatórios: um estudo controlado
Beneficiário:Yuri Martins Costa
Modalidade de apoio: Bolsas no Brasil - Mestrado